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3 valves not working and the 4th is now leaking. Having diabetes. Undergoing angiogram. How long can i survive like this, i m in the public system and 74 years old?

my mate has 3 valves not working and the 4th one now leaking he has diabetes has had a stroke 5 years agoand a bypass 8years ago healso is on medication for fluid around heart and was dignosed with congestive heart failure last week he has seen a cardoligst and he is going to do angerogram when we dont know as he said he has ablockage how long can he survive like this he is in the public system and he is 74 years old
Asked On : Mon, 29 Apr 2013
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Cardiologist 's  Response
Dear madam
Thanks for writing to us.
i wish i could give you an exact answer as i can feel your concern. But in a given case prognostication is near impossible.
A 74 years old male with anginal heart disease with heart failure has roughly 30%-40% chances of death in next 6 months but with a few riders:-
1. prognosis or prediction in a single case can not be done as the data is for a population.
2. the survival depends upon a number of factors, all of which have not been mentioned/ can not be judged on internet like how much leakage is their in valves/ what is his ejection fraction (heart pumping)/ how are his kidney functions? is he a diabetic? how much of his heart failure is due to anginal heart disease which can be rectified by angioplasty etc etc.
Even doing an angioplasty will be a tricky decision for your cardiologist as he will have to look at overall survival.
have faith and try to give him guideline based best treatment
sukhvinder singh
Answered: Tue, 30 Apr 2013
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